Fedele Fabiola, Caputo Andrea, Cordella Barbara, Muzii Ludovico, Pietrangeli Daniela, Aragona Cesare, Langher Viviana
Department of Dynamic and Clinical Psychology, "Sapienza" University of Rome, Rome, Italy.
Department of Gynecologic-Obstetrical and Urologic Sciences, "Sapienza" University of Rome, Umberto I Hospital, Rome, Italy.
Eur J Psychol. 2020 Nov 27;16(4):619-638. doi: 10.5964/ejop.v16i4.2245. eCollection 2020 Nov.
Infertility-related psychological research is traditionally oriented to analyze the wellbeing of couples undergoing Assisted Reproductive Technologies (ART), than to study the job-related effects on the healthcare fertility staff. This piece of research aims at understanding the subjective perspective of the fertility professionals and contribute to identify their emotional dynamics in their work environment. An in-depth explorative research study was conducted on 12 healthcare professionals of an Italian ART hospital clinic. Structured interviews with open-ended questions were administered to explore their deep feelings about their professional experience. Emotional text analysis was then conducted to analyze the textual corpus of their narratives to grasp their affective symbolizations. Statistical multidimensional techniques were used to detect some thematic domains (cluster analysis) and latent factors organizing the contraposition between them (multiple correspondence analysis). Five thematic domains were detected which refer to different emotional dimensions, as follows: performance anxiety (Cluster 1), ambivalence between omnipotence and powerlessness (Cluster 2), care burden (Cluster 3), feeling of duty (Cluster 4), and sense of interdependence (Cluster 5). Then, four latent factors were identified dealing with the laborious attempt to remedy, the realistic sense of limitation, the incumbent feeling of pressure and the restorative sense of justice, respectively. The results are discussed based on the existing literature and some useful recommendations for staff education, training and clinical supervision are provided accordingly.
传统上，与不孕不育相关的心理学研究侧重于分析接受辅助生殖技术（ART）的夫妇的幸福感，而非研究对生育医疗保健工作人员的工作相关影响。这项研究旨在了解生育专业人员的主观观点，并有助于识别他们在工作环境中的情绪动态。对一家意大利ART医院诊所的12名医疗保健专业人员进行了深入的探索性研究。通过开放式问题进行结构化访谈，以探究他们对专业经历的深刻感受。然后进行情感文本分析，以分析他们叙述的文本语料库，从而把握他们的情感象征。使用统计多维技术来检测一些主题领域（聚类分析）以及组织它们之间对立关系的潜在因素（多重对应分析）。检测到五个主题领域，它们涉及不同的情感维度，如下所示：表现焦虑（聚类1）、全能与无力之间的矛盾心理（聚类2）、护理负担（聚类3）、责任感（聚类4）和相互依赖感（聚类5）。然后，确定了四个潜在因素，分别涉及补救的艰苦尝试、现实的局限感、紧迫的压力感和恢复性的正义感。根据现有文献对结果进行了讨论，并相应地为员工教育、培训和临床监督提供了一些有用的建议。
